| Tacoma Medical Center Dentistry | |
|
314 M. L. King Way Suite #206 Tacoma WA 98405 | |
| (253) 383-3713 | |
| (253) 383-0874 |
| Full Name | Tacoma Medical Center Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 314 M. L. King Way, Tacoma, Washington |
| Authorized Official Name and Position | Mostafa Norooz (CEO) |
| Authorized Official Contact | 2533833713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tacoma Medical Center Dentistry 314 M. L. King Way Suite #206 Tacoma WA 98405 Ph: (253) 383-3713 | Tacoma Medical Center Dentistry 314 M. L. King Way Suite #206 Tacoma WA 98405 Ph: (253) 383-3713 |
| NPI Number | 1609099464 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 02/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609099464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE07466 (Washington) | Primary |
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